Individual provider Active NPI

Kristen A Wolaver, DDS

  • Dentist
  • New Orleans, LA
National Provider Identifier
1538751078
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7345 Issued in LA
Practice address
4232 Saint Claude Ave
New Orleans, LA 70117-5339
Phone
(504) 947-2958
NPI assigned
Feb 5, 2021
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7345 LA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

4232 Saint Claude Ave
New Orleans, LA 70117-5339

Mailing address

1325 Annunciation St Apt 113
New Orleans, LA 70130-4058
Phone (703) 835-0933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720001321 LA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9830592419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7345LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
St Claude Gentle Dental Center Inc PastSince Nov 13, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kwolaver5287453@direct.casso.us.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1538751078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 ANNUNCIATION ST APT 113",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304058",
            "telephone_number": "703-835-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 SAINT CLAUDE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701175339",
            "telephone_number": "504-947-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLAVER",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7345",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.